Ohio Nursing Homes >> Whitehouse Nursing Homes >> Whitehouse Country Manor

Whitehouse Country Manor - Whitehouse Nursing Home

General Information

UPDATE
Federal Provider Number
365756
Provider Name
WHITEHOUSE COUNTRY MANOR
Provider Address
11239 WATERVILLE ST
WHITEHOUSE, OH 43571
Provider Phone Number
(419) 877-5338
Provider SSA County
490
Provider County Name
Lucas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITEHOUSE OPERATOR LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.73313
Reported LPN Staffing Hours per Resident per Day
0.88375
Reported RN Staffing Hours per Resident per Day
0.61063
Reported Licensed Staffing Hours per Resident per Day
1.49438
Reported Total Nurse Staffing Hours per Resident per Day
2.22751
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01188
Expected CNA Staffing Hours per Resident per Day
2.14955
Expected LPN Staffing Hours per Resident per Day
0.61240
Expected RN Staffing Hours per Resident per Day
1.02906
Expected Total Nurse Staffing Hours per Resident per Day
3.79101
Adjusted CNA Staffing Hours per Resident per Day
0.83686
Adjusted LPN Staffing Hours per Resident per Day
1.19776
Adjusted RN Staffing Hours per Resident per Day
0.44338
Adjusted Total Nurse Staffing Hours per Resident per Day
2.36846
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-12-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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